Approach to the causes of discharge and health needs of transgender people through the National Hospital Discharge Survey in Spain during the period 2001 to 2013

OBJECTIVE: The health of transgender people is a little studied topic and hospital records can be an opportunity to make an approach. The aim of this study was to describe the cause for admission and the associated comorbidities of transgender people in Spain between 2001 and 2013. METHODS: Retrospective observational study with population-based administrative records (Minimum Basic Data Set). The discharges generated by the transgender in Spanish public and private hospitals were selected using one of the following ICD-9-CM codes in any diagnostic field: Trans-sexualism (302.5), Disorders of psychosexual identity (302.6) and Gender identity disorder in adolescents or adults (302.85). The causes of admission and comorbidity according were described. The qualitative variables were described in their frequency distribution according to their number(n) and proportion(%) and the quantitative variables according to their mean and standard deviation (SD) or median (MD) and interquartile range (RIQ) according to their distribution. RESULTS: A total of 2,010 highs were recorded corresponding to 1,878 patients. The mean age was 33 years (SD = 10). 51% were male, 46% female and 3% undetermined or unspecified. The discharges were motivated in 59% by the process of body modification, followed by HIV (4%) and personality disorders (3%). The most common comorbidities were those associated with body modification (49%), mental health problems (40%) and infectious diseases (15%). CONCLUSIONS: It is necessary to address the health of transgender people in a comprehensive way that takes into account their specific health needs, including bodily modification, mental health, HIV and other infections, through strategies that include improve research, tailor health information systems and develop guidelines and training of healthcare providers in this transgender health.S

Variaciones anatómicas en miembros superior e inferior presentes en el Anfiteatro de la Facultad de Medicina de la Universidad Militar Nueva Granada en el periodo 2017-2 y 2018-1

Introducción: Las variaciones anatómicas son anomalías en la disposición morfológica de estructuras anatómicas, éstas no representan un proceso patológico ni un riesgo para la persona que cuenta con una. Para poder identificar una variación es necesario contrastar con la literatura; el anatomista Andreas Vesalius fue de los primeros en dejar registro de un estudio anatómico.Materiales y métodos: Se realizó un estudio descriptivo  observacional, con nueve muestras cadavéricas adultas de sexo femenino y masculino del anfiteatro de la Universidad Militar Nueva Granada, con el fin de identificar en ellas las variaciones anatómicas más comunes de los miembros superiores e inferiores, contrastando éstas con literatura especializada.Resultados: Se encontró que las variaciones más comunes en los cadáveres estudiados fueron la ausencia del músculo tercer peroneo, el músculo palmar largo, además se encontraron variaciones relacionadas con la vasculatura y la inervación del miembro inferior

Workshop on mitigation measures to reduce bycatch of short-beaked common dolphins in the Bay of Biscay (WKEMBYC2)

Following the special request from the DG MARE, the Workshop on mitigation measures to minimize bycatch of short-beaked common dolphins in the Bay of Biscay (WKEMBYC2) was established by ICES. WKEMBYC2 was tasked with updating and revaluating the scenarios previously proposed in the ICES special request advice in 2020. The group was asked to consider recent data on bycatch of common dolphins in commercial fisheries and total fishing effort in the Bay of Biscay and Iberian Coast ecosystem, as well as taking into account results from any mitigation trials carried out since the meeting in 2020. In section 2 of this report the efficacy of the scenarios provided during WKEMBYC in 2020 were reassessed using updated bycatch estimates calculated from at-sea monitoring and stranding data collected between 2019 and 2021. Scenarios and methods remained unchanged, to ensure comparability between both evaluations. Similarly, PBR values considered in the 2020 scenarios were again considered here, with the addition of the mPBR which was developed by OSPAR since the last workshop. The annual mortality due to bycatch inferred from French strandings in the Bay of Biscay and along the Western Channel was estimated at about 9,040 (95%CI [6,640 - 13,300]) common dolphins between 2019 and 2021. In the Bay of Biscay and Iberian Coast (areas 8 and 9), the mean annual bycatch estimated from at-sea observations between 2019-2021 across all métiers was 5938 (95% CI 3081-9700) common dolphins. The abundance estimate and PBR values used in this report were the same as those used in 2020; with common dolphin abundance estimated to be 634 286 (CV=0.307) for the European Atlantic Assessment Unit, and PBR for the species calcu-lated as 4926 individuals per year. The management objective of PBR is to ensure that “a population will remain at, or recover to, its maximum net productivity level (typically 50% of the populations carrying capacity), with 95% probability, within a 100-year period”. A modified PBR (mPBR) value of 985 was also used, with the management objective of ensuring “a population should be able to recover to or be maintained at 80% of carrying capacity, with probability 0.8, within a 100-year period”. Considering bycatch estimates calculated from at-sea monitoring, scenarios with a combination of pingers on OTM/PTB and at least 4-week closure in winter can reach the management objective of bycatch remaining below the PBR. The removal bycatch over a three-month period between the January and March winter period, and an addi-tional month closure in July/August potentially reduces bycatch below the mPBR level for at-sea monitoring bycatch estimates alone. Considering estimates inferred from strandings, a mini-mum of 6-week closure combined with pingers can achieve the objective of reducing bycatch below PBR. None of the scenarios can reduce bycatch below mPBR for either monitoring and stranding bycatch estimates. The narrower the fishery closure, the higher the risk of not achieving the management objective, as the peak of mortality can be missed. In section 3 of the report the workshop participants chose to further explore the scenarios with bycatch rates and estimate bycatch at a finer spatial and temporal scale and to consider additional mitigation measures based on results of newly conducted preliminary trials. This exploratory analysis allowed particular areas, métiers or periods with evidence of elevated bycatch rates to be identified at higher resolution, however, this approach requires significant at-sea monitoring in all strata. If such data were available, this method could be used to highlight specific areas, métiers and periods where particular effort in vessel observation should be deployed or mitigation measures implemented. WKEMBYC2 also recommended a series of monitoring actions to improve bycatch estimates, monitoring to data analysis, mitigation and the assessment of the northeast Atlantic common dolphin

Third workshop on appropriate sampling schemes for protected, endangered and threatened species bycatch (WKPETSAMP3)

The workshops WKPETSAMP2 and WKPETSAMP3 were convened following a special request from the European Union’s Directorate-General for Environment (DG ENV) on appropriate sampling schemes for endangered, threatened and protected (ETP) species. In particular, these workshops were tasked with providing concrete inputs and results to inform ICES advice to DG ENV on ‘appropriate bycatch monitoring systems at Member State level and on regional coordination’. An aim of the PETSAMP workshops was to generate improved insights into how aspects of sampling design may impact the precision and accuracy of bycatch estimates and the detection probability of bycatch events. The workshop considered key issues such as: how sampling coverage (percentage of monitored fishing operations) impacts the precision of bycatch estimates and how this is dependent on the bycatch probability (how often a bycatch is encountered); if stratification improves precision and if this is dependent on bycatch probability; if it is better to sample few vessels but many trips (e.g. typical of reference fleets and Electronic Monitoring programmes) or many vessels but fewer trips (e.g. typical of at-sea observer programmes). To do this the WKPETSAMP2 extended the simulation framework (SCOTI) developed by WGBYC in 2022. This framework was used in WKPETSAMP3 and was parameterized with data from several case studies. The case studies are from ongoing or historical sampling programs and represent different waters across Europe and different fisheries

Working group on bycatch of protected species (WGBYC 2022)

The Working Group on Bycatch of Protected Species (WGBYC) was established in 2007 and collates and analyses information from across the Northeast Atlantic and adjacent sea areas (Baltic, Mediterranean and Black Seas) related to the bycatch in commercial fishing operations of pro-tected and sensitive species including marine mammals, seabirds, turtles and sensitive fish spe-cies. WGBYC seeks to describe and improve understanding of the likely impacts of fishing activities on affected populations, to inform on the suitability of existing at-sea monitoring programmes for assessing sensitive species bycatch, and to collate information on bycatch mitigation efforts. In 2022, the WG hybrid meeting addressed seven Terms of Reference (ToR). The report provides an overview of data collection activities during 2021 including details of reported monitoring and fishing effort data, and bycatch records that were submitted to the WGBYC database in 2022 following a formal data call. Data were requested from 17 of the 20 ICES countries, six EU Mediterranean countries and two EU Black Sea countries. 24 of the 25 contacted countries submitted data. WGBYC developed a new approach for evaluating and assessing bycatch across the full range of relevant taxa by considering a range of criteria, including data quality, within group expertise and the existence of management/conservation objectives. Preliminary results based on a selec-tion of 35 Ecoregion/species/métier level 4 combinations indicated that just 9 had low monitoring bias, and also highlighted that clear conservation objectives are generally lacking for most spe-cies and areas. This approach will be further developed by WGBYC to underpin the requirements of the agreement between ICES and DGMARE for the provision of annual advice on bycatch. WGBYC provided qualitative information for several species/populations of marine mammals, seabirds, turtles and fish, that are currently considered to be at significant risk due to fisheries bycatch, but because of their rarity are not well represented in existing fisheries monitoring da-tasets. A risk-based approach to highlight monitoring gaps and inform coordinated sampling designs was further developed and provided useful insights into which métiers may be under-sampled by existing at-sea data collection programmes with respect to sensitive species bycatch. WGBYC prepared tables and plots describing data reporting in 2021, multi-annual bycatch rates and trends in fishing effort, to contribute to the 2022 recurrent and fisheries overviews advice drafting process

Pancreatic metastases from renal cell carcinoma. Postoperative outcome after surgical treatment in a Spanish multicenter study (PANMEKID)

Background: Renal Cell Carcinoma (RCC) occasionally spreads to the pancreas. The purpose of our study is to evaluate the short and long-term results of a multicenter series in order to determine the effect of surgical treatment on the prognosis of these patients. Methods: Multicenter retrospective study of patients undergoing surgery for RCC pancreatic metastases, from January 2010 to May 2020. Variables related to the primary tumor, demographics, clinical characteristics of metastasis, location in the pancreas, type of pancreatic resection performed and data on short and long-term evolution after pancreatic resection were collected. Results: The study included 116 patients. The mean time between nephrectomy and pancreatic metastases' resection was 87.35 months (ICR: 1.51-332.55). Distal pancreatectomy was the most performed technique employed (50 %). Postoperative morbidity was observed in 60.9 % of cases (Clavien-Dindo greater than IIIa in 14 %). The median follow-up time was 43 months (13-78). Overall survival (OS) rates at 1, 3, and 5 years were 96 %, 88 %, and 83 %, respectively. The disease-free survival (DFS) rate at 1, 3, and 5 years was 73 %, 49 %, and 35 %, respectively. Significant prognostic factors of relapse were a disease free interval of less than 10 years (2.05 [1.13-3.72], p 0.02) and a history of previous extrapancreatic metastasis (2.44 [1.22-4.86], p 0.01). Conclusions: Pancreatic resection if metastatic RCC is found in the pancreas is warranted to achieve higher overall survival and disease-free survival, even if extrapancreatic metastases were previously removed. The existence of intrapancreatic multifocal compromise does not always warrant the performance of a total pancreatectomy in order to improve survival. (C) 2021 The Authors. Published by Elsevier Ltd

Repeated pancreatic resection for pancreatic metastases from renal cell Carcinoma: A Spanish multicenter study (PANMEKID)

Background and objectives: Recurrent isolated pancreatic metastasis from Renal Cell Carcinoma (RCC) after pancreatic resection is rare. The purpose of our study is to describe a series of cases of relapse of pancreatic metastasis from renal cancer in the pancreatic remnant and its surgical treatment with a repeated pancreatic resection, and to analyse the results of both overall and disease -free survival. Methods: Multicenter retrospective study of patients undergoing pancreatic resection for RCC pancreatic metastases, from January 2010 to May 2020. Patients were grouped into two groups depending on whether they received a single pancreatic resection (SPS) or iterative pancreatic resection. Data on short and long-term outcome after pancreatic resection were collected. Results: The study included 131 pancreatic resections performed in 116 patients. Thus, iterative pancreatic surgery (IPS) was performed in 15 patients. The mean length of time between the first pancreatic surgery and the second was 48.9 months (95 % CI: 22.2-56.9). There were no differences in the rate of postoperative complications. The DFS rates at 1, 3 and 5 years were 86 %, 78 % and 78 % vs 75 %, 50 % and 37 % in the IPS and SPS group respectively (p = 0.179). OS rates at 1, 3, 5 and 7 years were 100 %, 100 %, 100 % and 75 % in the IPS group vs 95 %, 85 %, 80 % and 68 % in the SPS group (p = 0.895). Conclusion: Repeated pancreatic resection in case of relapse of pancreatic metastasis of RCC in the pancreatic remnant is justified, since it achieves OS results similar to those obtained after the first resection

The Research Journey as a Challenge Towards New Trends

The academic community of the department of Risaralda, in its permanent interest in evidencing the results of the research processes that are carried out from the Higher Education Institutions and as a product of the VI meeting of researchers of the department of Risaralda held in November 2021 presents its work: “The journey of research as a challenge towards new trends”, which reflects the result of the latest research and advances in different lines of knowledge in Agricultural Sciences, Health Sciences, Social Sciences and Technology and Information Sciences, which seek to solve and meet the demands of the different sectors. This work would not have been possible without the help of each of the teachers, researchers and authors who presented their articles that make up each of the chapters of the book, to them our gratitude for their commitment, dedication and commitment, since their sole purpose is to contribute from the academy and science to scientific and technological development in the search for the solution of problems and thus contribute to transform the reality of our society and communities. We also wish to extend our gratitude to the institutions of the Network that made this publication possible: UTP, UCP, UNAD, UNIREMINGTON; UNISARC, CIAF, Universidad Libre, Uniclaretiana, Fundación Universitaria Comfamiliar and UNIMINUTO, institutions that in one way or another allowed this work to become a reality, which we hope will be of interest to you.Preface............................................................................................................................7 Chapter 1. Technologies and Engineering Towards a humanization in Engineering using soft skills in training in Engineers.............................................................................................................11 Omar Iván Trejos Buriticá1, Luis Eduardo Muñoz Guerrero Innovative materials in construction: review from a bibliometric analysis....................................................................................................................27 Cristian Osorio Gómez, Daniel Aristizábal Torres, Alejandro Alzate Buitrago, Cristhian Camilo Amariles López Bibliometric review of disaster risk management: progress, trends, and challenges.........................................................................................................51 Alejandro Alzate Buitrago, Gloria Milena Molina Vinasco. Incidence of land coverage and geology, in the unstability of lands of the micro-basin of the Combia creek, Pereira, Risaralda....................................73 Alejandro Alzate Buitrago, Daniel Aristizábal Torres. Chapter 2. Arts, Humanities, and Social Sciences Training experience with teachers teaching mathematics using the inquiry methodology ...............................................................................................95 Vivian Libeth Uzuriaga López, Héctor Gerardo Sánchez Bedoya. Interpretation of the multiple representations of the fears associated to the boarding of limited visual patients in the elective I students’ written productions and low vision ...................................................................................113 Eliana Bermúdez Cardona, Ana María Agudelo Guevara, Caterine Villamarín Acosta. The relevance of local knowledge in social sciences............................................131 Alberto Antonio Berón Ospina, Isabel Cristina Castillo Quintero. Basic education students’ conceptions of conflict a view from the peace for the education....................................................................................................143 Astrid Milena Calderón Cárdenas,Carolina Aguirre Arias, Carolina Franco Ossa, Martha Cecilia Gutiérrez Giraldo, Orfa Buitrago. Comprehensive risk prevention in educational settings: an interdisciplinary and socio-educational approach ............................................................................163 Olga María Henao Trujillo, Claudia María López Ortiz. Chapter 3. Natural and Agricultural Sciences Physicochemical characterization of three substrates used in the deep bedding system in swine .......................................................................................175 Juan Manuel Sánchez Rubio, Andrés Felipe Arias Roldan, Jesús Arturo Rincón Sanz, Jaime Andrés Betancourt Vásquez. Periodic solutions in AFM models........................................................................187 Daniel Cortés Zapata, Alexander Gutiérrez Gutiérrez. Phenology in flower and fruit of Rubus glaucus benth. Cv. Thornless in Risaralda: elements for phytosanitary management .........................................199 Shirley Palacios Castro, Andrés Alfonso Patiño Martínez, James Montoya Lerma, Ricardo Flórez, Harry Josué Pérez. Socio-economic and technical characterization of the cultivation of avocado (Persea americana) in Risaralda..............................................................217 Andrés Alfonso Patiño Martínez, Kelly Saudith Castañez Poveda, Eliana Gómez Correa. Biosecurity management in backyard systems in Santa Rosa de Cabal, Risaralda................................................................................................................227 Julia Victoria Arredondo Botero, Jaiver Estiben Ocampo Jaramillo, Juan Sebastián Mera Vallejo, Álvaro de Jesús Aranzazu Hernández. CONTENTS Physical-chemical diagnosis of soils in hillside areas with predominance of Lulo CV. La Selva production system in the department of Risaralda.............241 Adriana Patricia Restrepo Gallón, María Paula Landinez Montes, Jimena Tobón López. Digestibility of three concentrates used in canine feeding....................................271 María Fernanda Mejía Silva, Valentina Noreña Sánchez, Gastón Adolfo Castaño Jiménez. Chapter 4. Economic, Administrative, and Accounting Sciences Financial inclusion in households from socioeconomic strata 1 and 2 in the city of Pereira ..................................................................................................285 Lindy Neth Perea Mosquera, Marlen Isabel Redondo Ramírez, Angélica Viviana Morales. Internal marketing strategies as a competitive advantage for the company Mobilautos SAS de Dosquebradas........................................................................303 Inés Montoya Sánchez, Sandra Patricia Viana Bolaños, Ana María Barrera Rodríguez. Uses of tourist marketing in the tourist sector of the municipality of Belén de Umbría, Risaralda.............................................................................................319 Ana María Barrera Rodríguez, Paola Andrea Echeverri Gutiérrez, María Camila Parra Buitrago, Paola Andrea Martín Muñoz, Angy Paola Ángel Vélez, Luisa Natalia Trejos Ospina. Territorial prospective of Risaralda department (Colombia), based on the SDGS...............................................................................................................333 Juan Guillermo Gil García, Samanta Londoño Velásquez. Chapter 5. Health and Sports Sciences Performance evaluation in times of pandemic. What do medical students think?.......................................................................................................353 Samuel Eduardo Trujillo Henao, Rodolfo A. Cabrales Vega, Germán Alberto Moreno Gómez. The relevance of the therapist’s self and self-reference in the training of psychologists.....................................................................................................371 Maria Paula Marmolejo Lozano, Mireya Ospina Botero. Habits related to oral health which influence lifestyle of elder people in a wellness center for the elderly in Pereira 2020. .............................................387 Isadora Blanco Pérez, Olga Patricia Ramírez Rodríguez, Ángela María Rincón Hurtado. Analysis of the suicide trend in the Coffee Region in Colombia during the years 2012-2018 ..............................................................................................405 Germán Alberto Moreno Gómez, Jennifer Nessim Salazar, Jairo Franco Londoño, Juan Carlos Medina Osorio. Hind limb long bone fractures in canines and felines...........................................419 María Camila Cruz Vélez, Valentina Herrera Morales, Alba Nydia Restrepo Jiménez, Lina Marcela Palomino, Gabriel Rodolfo Izquierdo Bravo. Prevalence of overweight and obesity in children in the rural and urban area of Risaralda....................................................................................................439 Angela María Álvarez López, Angela Liceth Pérez Rendón, Alejandro Gómez Rodas, Luis Enrique Isaza Velásquez. Chapter 6. Architecture, Design and Advertising The artisan crafts of Risaralda, characteristics, importance, and risks within the Colombian Coffee Cultural Landscape, CCCL....................................457 Yaffa Nahir Ivette Gómez Barrera, Javier Alfonso López Morales

COVID-19 vaccine failure

COVID-19 affects the population unequally with a higher impact on aged and immunosuppressed people. Hence, we assessed the effect of SARS-CoV-2 vaccination in immune compromised patients (older adults and oncohematologic patients), compared with healthy counterparts. While the acquired humoral and cellular memory did not predict subsequent infection 18 months after full immunization, spectral and computational cytometry revealed several subsets within the CD8+ T-cells, B-cells, NK cells, monocytes and CD45RA+ CCR7- Tγδ cells differentially expressed in further infected and non-infected individuals not just following immunization, but also prior to that. Of note, up to 7 subsets were found within the CD45RA+ CCR7- Tγδ population with some of them being expanded and other decreased in subsequently infected individuals. Moreover, some of these subsets also predicted COVID-induced hospitalization in oncohematologic patients. Therefore, we hereby have identified several cellular subsets that, even before vaccination, strongly related to COVID-19 vulnerability as opposed to the acquisition of cellular and/or humoral memory following vaccination with SARS-CoV2 mRNA vaccines.This study has been funded through Programa Estratégico Instituto de Biología y Genética Molecular (IBGM Junta de Castilla y León. Ref. CCVC8485), Junta de Castilla y León (Proyectos COVID 07.04.467B04.74011.0) and the European Commission – NextGenerationEU (Regulation EU 2020/2094), through CSIC's Global Health Platform (PTI Salud Global; SGL21-03-026 and SGL2021-03-038)N

¿Qué queda de mí?

Este libro es una reclamación a quienes hemos sido, somos o seremos docentes. A quienes no hemos respetado a las personas que se han puesto junto a nosotros y nosotras, confiando su bien más preciado: la libertad. Estas páginas denuncian cada vez que convertimos una visión en la visión, una emoción en la emoción, un saber en el saber, un comportamiento en el comportamiento. Es un grito contra la imposición, la normalización, la neutralización y la universalización de una perspectiva particular. Una pugna contra cada proceso que no se ha conectado con las vidas de los aprendices. Un texto colaborativo realizado por alumnado de Educación y Cambio Social en el Grado en Educación Infantil de la Universidad de Málaga y coordinado por Ignacio Calderón Almendros